Mrs Tabetha Broome Renner, PA-AC in Macon, GA - Medicare Anesthesiology Assistant

Mrs Tabetha Broome Renner, PA-AC is a medicare enrolled "Anesthesiologist Assistant" in Macon, Georgia. She went to Emory University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Piedmont Anesthesia Llc and her current practice location is 400 Charter Blvd, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 746-7577.

Mrs Tabetha Broome Renner is licensed to practice in Georgia (license number 05414) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487810610.

Contact Information

	Mrs Tabetha Broome Renner, PA-AC
	400 Charter Blvd, Macon, GA 31210-4831
	(478) 746-7577
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tabetha Broome Renner
Gender	Female
Speciality	Anesthesiology Assistant
Experience	16 Years
Location	400 Charter Blvd, Macon, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tabetha Broome Renner attended and graduated from Emory University School Of Medicine in 2008

NPI Data:

NPI Number: 1487810610
Provider Enumeration Date: 08/07/2008
Last Update Date: 04/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8123172749
Enrollment ID: I20090817000665

Medical Identifiers

Medical identifiers for Mrs Tabetha Broome Renner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487810610	NPI	-	NPPES
606097755D	Medicaid	GA
606097755G	Medicaid	GA
580628385	Other	GA	TRICARE
P01101055	Other	GA	RAILROAD MEDICARE
606097755E	Medicaid	GA
606097755F	Medicaid	GA
578310	Other	GA	WELLCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(* (Not Available))	Secondary
367H00000X	Anesthesiologist Assistant	05414 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Coliseum Northside Hospital	Macon, GA	Hospital
Coliseum Medical Centers, Llc, Dba	Macon, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Anesthesia Llc	2163837972	155

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tabetha Broome Renner allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Associates Of Macon Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083720478 PECOS PAC ID: 5799698601 Enrollment ID: O20031107000003

Entity Name	Peach State Anesthesia Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134751191 PECOS PAC ID: 8527496777 Enrollment ID: O20200321000409

Entity Name	Piedmont Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tabetha Broome Renner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tabetha Broome Renner, PA-AC Po Box 2564, Macon, GA 31203-2565 Ph: (478) 746-5644	Mrs Tabetha Broome Renner, PA-AC 400 Charter Blvd, Macon, GA 31210-4831 Ph: (478) 746-7577

Reviews and Comments

Anesthesiologist Assistant Nurses in Macon, GA

Mrs. Dena D Mckenna, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Msc10, Macon, GA 31201 Phone: 478-633-1000
Mr. Ryan C. Wallentine, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849
Dr. Ge Ye, DPM Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Vineville Ave, Macon, GA 31204 Phone: 478-742-3631
Eric S Curtright, PA-AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405
Mrs. Christie Huskey Gibson, PA-AC Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849
Athena Jmullins Mullins, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405
Shilpa A Rege, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644

Mrs Tabetha Broome Renner, PA-AC - Medicare Anesthesiology Assistant in Macon, GA